Principles And Techniques Of Patient Care Pdf
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- Standard Precautions
- Pierson and Fairchild's Principles & Techniques of Patient Care
- [PDF DOWNLOAD] Pierson and Fairchild s Principles Techniques of Patient Care, 5e
For nearly 20 years, nursing has topped Gallup polls as the most honest and ethical profession. Leadership plays a significant role in developing and maintaining nursing ethics.
Pharmaceutical Care is a patient-centered, outcomes oriented pharmacy practice that requires the pharmacist to work in concert with the patient and the patient's other healthcare providers to promote health, to prevent disease, and to assess, monitor, initiate, and modify medication use to assure that drug therapy regimens are safe and effective.
The goal of Pharmaceutical Care is to optimize the patient's health-related quality of life, and achieve positive clinical outcomes, within realistic economic expenditures. To achieve this goal, the following must be accomplished:.
Interaction between the pharmacist and the patient must occur to assure that a relationship based upon caring, trust, open communication, cooperation, and mutual decision making is established and maintained. In exchange, the patient agrees to supply personal information and preferences, and participate in the therapeutic plan. The pharmacist develops mechanisms to assure the patient has access to pharmaceutical care at all times.
Since this information will form the basis for decisions regarding the development and subsequent modification of the drug therapy plan, it must be timely, accurate, and complete, and it must be organized and recorded to assure that it is readily retrievable and updated as necessary and appropriate. Patient information must be maintained in a confidential manner. The plan may have various components which address each of the patient's diseases or conditions.
As one of the patient's advocates, the pharmacist assures the coordination of drug therapy with the patient's other healthcare providers and the patient. In addition, the patient must be apprised of 1 various pros and cons i.
The essential elements of the plan, including the patient's responsibilities, must be carefully and completely explained to the patient. Information should be provided to the patient at a level the patient will understand. The drug therapy plan must be documented in the patient's pharmacy record and communicated to the patient's other healthcare providers as necessary.
The pharmacist is responsible for monitoring the patient's progress in achieving the specific outcomes according to strategy developed in the drug therapy plan. Patient progress is accurately documented in the pharmacy record and communicated to the patient and to the patient's other healthcare providers as appropriate.
The pharmacist shares information with other healthcare providers as the setting for care changes thus helping assure continuity of care as the patient moves between the community setting, the institutional setting, and the long-term care setting. In some situations e.
Adequate time is devoted to assure that questions and answers can be fully developed without either party feeling uncomfortable or hurried. The interview is used to systematically collect patient-specific subjective information and to initiate a pharmacy record which includes information and data regarding the patient's general health and activity status, past medical history, medication history, social history including economic situation , family history, and history of present illness.
Sources may include, but are not limited to, the patient's medical record or medical reports, the patient's family, and the patient's other healthcare providers. The pharmacist assures that the patient's record is appropriately organized, kept current, and accurately reflects all pharmacist-patient encounters.
The confidentiality of the information in the record is carefully guarded and appropriate systems are in place to assure security. Patient-identifiable information contained in the record is provided to others only upon the authorization of the patient or as required by law. The plan may include specific disease state and drug therapy endpoints and monitoring endpoints.
Explanations are tailored to the patient's level of comprehension and teaching and adherence aids are employed as indicated. The pharmacist shares information with other healthcare providers as the setting for care changes, in order to help maintain continuity of care as the patient moves between the ambulatory, inpatient or long-term care environment.
As progress towards outcomes is achieved, the pharmacist should provide positive reinforcement. The pharmacist uses appropriate professional judgement in determining the need to notify the patient's other healthcare providers of the patient's level of adherence with the plan.
Communications with other healthcare providers should also be noted. Pharmaceutical care is a process of drug therapy management that requires a change in the orientation of traditional professional attitudes and re-engineering of the traditional pharmacy environment.
Certain elements of structure must be in place to provide quality pharmaceutical care. Some of these elements are: 1 knowledge, skill, and function of personnel, 2 systems for data collection, documentation, and transfer of information, 3 efficient work flow processes, 4 references, resources and equipment, 5 communication skills, and 6 commitment to quality improvement and assessment procedures.
The implementation of pharmaceutical care is supported by knowledge and skills in the area of patient assessment, clinical information, communication, adult teaching and learning principles and psychosocial aspects of care. To use these skills, responsibilities must be reassessed, and assigned to appropriate personnel, including pharmacists, technicians, automation, and technology. A mechanism of certifying and credentialling will support the implementation of pharmaceutical care. The implementation of pharmaceutical care is supported by data collection and documentation systems that accommodate patient care communications e.
Documentation systems are vital for reimbursement considerations. The implementation of pharmaceutical care is supported by incorporating patient care into the activities of the pharmacist and other personnel. The implementation of pharmaceutical care is supported by tools which facilitate patient care, including equipment to assess medication therapy adherence and effectiveness, clinical resource materials, and patient education materials. Tools may include computer software support, drug utilization evaluation DUE programs, disease management protocols, etc.
The implementation of pharmaceutical care is supported by patient-centered communication. Within this communication, the patient plays a key role in the overall management of the therapy plan. The implementation and practice of pharmaceutical care is supported and improved by measuring, assessing, and improving pharmaceutical care activities utilizing the conceptual framework of continuous quality improvement.
This document will not cover each and every situation; that was not the intent of the Advisory Committee. This is a dynamic document and is intended to be revised as the profession adapts to its new role. It is hoped that pharmacists will use these principles, adapting them to their own situation and environments, to establish and implement pharmaceutical care. Similarly, "drug therapy plan" includes the outcomes oriented plan for diagnostic drug use in addition to pharmacologic drug use.
Login Forgot username? Username Please enter your username. Forgot password? Password Please enter your password. Need a login? Create an account. Not a member of APhA? Join now. Home Principles of Practice for Pharmaceutical Care. Preamble Pharmaceutical Care is a patient-centered, outcomes oriented pharmacy practice that requires the pharmacist to work in concert with the patient and the patient's other healthcare providers to promote health, to prevent disease, and to assess, monitor, initiate, and modify medication use to assure that drug therapy regimens are safe and effective.
To achieve this goal, the following must be accomplished: A. A professional relationship must be established and maintained. Patient-specific medical information must be collected, organized, recorded, and maintained. Patient-specific medical information must be evaluated and a drug therapy plan developed mutually with the patient. The pharmacist assures that the patient has all supplies, information and knowledge necessary to carry out the drug therapy plan.
The pharmacist reviews, monitors, and modifies the therapeutic plan as necessary and appropriate, in concert with the patient and healthcare team. Related Content. Practice Topics Tools and resources to support your practice.
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Pierson and Fairchild's Principles & Techniques of Patient Care
Medical errors may occur in different health care settings, and those that happen in hospitals can have serious consequences. The Agency for Healthcare Research and Quality, which has sponsored hundreds of patient safety research and implementation projects, offers these 10 evidence-based tips to prevent adverse events from occurring in your hospital. Prevent central line-associated blood stream infections. Be vigilant preventing central line-associated blood stream infections by taking five steps every time a central venous catheter is inserted: wash your hands, use full-barrier precautions, clean the skin with chlorhexidine, avoid femoral lines, and remove unnecessary lines. Taking these steps consistently reduced this type of deadly health care-associated infection to zero in a study at more than large and small hospitals. Re-engineer hospital discharges.
Standard Precautions are the minimum infection prevention practices that apply to all patient care, regardless of suspected or confirmed infection status of the patient, in any setting where health care is delivered. Standard Precautions include —. Each element of Standard Precautions is described in the following sections. Education and training are critical elements of Standard Precautions, because they help DHCP make appropriate decisions and comply with recommended practices. When Standard Precautions alone cannot prevent transmission, they are supplemented with Transmission-Based Precautions. This second tier of infection prevention is used when patients have diseases that can spread through contact, droplet or airborne routes e. Dental settings are not typically designed to carry out all of the Transmission-Based Precautions e.
Read Pierson and Fairchild's Principles & Techniques of Patient Care PDF - Ebook by Sheryl L. Fairchild BS PT ePUB ; Read Online Pierson.
[PDF DOWNLOAD] Pierson and Fairchild s Principles Techniques of Patient Care, 5e
Skip to search form Skip to main content You are currently offline. Some features of the site may not work correctly. Pierson and Sheryl L. Pierson , Sheryl L. Fairchild Published Medicine.
Jump to content. The language of ethics related to healthcare, also commonly called bioethics , is applied across all practice settings, and four basic principles are commonly accepted. These principles include 1 autonomy , 2 beneficence , 3 nonmaleficence , and 4 justice. For Case managers, and other health professionals, veracity truthfulness and fidelity trust are also spoken of as ethical principles but they are not part of the foundational ethical principles identified by bioethicists Drumwright,
Aug 6, Blog , Nursing Careers. Effective communication is one of the foundations of good nursing care. The honest forms of nurse-patient communication include verbal and non-verbal communication e. Effective nurse-patient communication can improve quality of care, clinical outcomes, and a nurse-patient relationship that enhances patient satisfaction. However, effective nurse-patient communication is the biggest challenge for nurses and requires much more than experience and skills.
Pharmaceutical Care is a patient-centered, outcomes oriented pharmacy practice that requires the pharmacist to work in concert with the patient and the patient's other healthcare providers to promote health, to prevent disease, and to assess, monitor, initiate, and modify medication use to assure that drug therapy regimens are safe and effective. The goal of Pharmaceutical Care is to optimize the patient's health-related quality of life, and achieve positive clinical outcomes, within realistic economic expenditures. To achieve this goal, the following must be accomplished:.
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